| NPI | 1295830982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY30899) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7816) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-08 |